Genetics Flashcards

1
Q

4 parts of history for dysmorphic child

A
  1. fam Hx
  2. antenatal
  3. perinatal
  4. post-natal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

parts of family Hx

A
  • 3 gens
  • birth defects
  • consang
  • miscarriages
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

parts of antenatal

A
  • exposures
  • maternal illness (TORCH)
  • screening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

parts of perinatal

A
  • GA
  • presentation
  • complications of L&D
  • APGAR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

parts of post-natal

A
  • growth
  • dev. progress
  • gen. health
  • seizures
  • vision/hearing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Phx

A

see P 127

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ivestigations (3)

A
  1. cytogenetics
  2. molecular Dx
  3. biochem lab tset
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

DS epi

A
  • most common

- rises with maternal age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

findings for DS

A

see P129

  • hypotonic
  • short
  • ASD/VSD
  • wide gap between toes
  • motor, cog, lang delays
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

invest. for DS

A
  • antenatal possible through amnio
  • FISH
  • karyotyping
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

def. trisomy 13

A
  • micropthamia
  • cleft palate
  • cardiac abnorm
  • forebrain abnorm
  • 5-10% survive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

def. trisomy 18

A
  • cardiac and renal abnormal
  • craniofacial feat.
  • clench fist
  • 5-10% survive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

etiology of fragile X

A

most common inherited abnormality

  • unstable FMR1 gene on X
  • needed to create neural dendrite
  • highly variable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dx fof fragile X

A

PCR or southern blot to determine number of repeats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

findings for fragile X

A

P 132

  • intel. dis
  • motor and lang.
  • ADHD, ASD, anxiwty
  • long narrow face with prominent jaw
  • joint laxity, club foot
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

mgmt of fragile X

A
  • guidance, behav and occ. therapy
  • meds for mood
  • genetic counseliing
17
Q

def. of 22q11.2 deletion (diGeorge)

A

90% spont, 10% inheritied

  • haploinsufficiancy
  • highly variable
18
Q

Dx of diGeorge

A
  • FISH
  • SNP array
  • genetic testing
19
Q

classic digeorge triad

A
  1. conotruncal cardiac abnormalities
  2. immunodef.
  3. hypocalcemia (parathyroid dysgenesis)